Active NPI
Israel Gonzalez-Cruz, M.D.
- General Practice Physician
- Caguas, PR
National Provider Identifier
1891851788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 13382
- Practice address
- Res. Bairoa DQ-15 42ND Street
Caguas, PR 00725 - Phone
- (787) 744-1556
- Fax
- (787) 744-1556
- NPI assigned
- Dec 28, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 13382 | PR | Primary |
Addresses
Primary practice location
Res. Bairoa DQ-15 42ND Street
Caguas, PR 00725
Mailing address
Res. Bairoa DQ-15 42ND Street
Caguas, PR 00725
Phone (787) 744-1556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040325000201 | PR | Practitioner - General Practice | 6709778947 | Practice locations: Caguas, PR |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- San Juan Bautista School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Borinquen Ave
Res Bairoa DQ 15
Caguas, PR 00725
Phone (787) 744-1556
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13382 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outpatient Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ambulatory Surgical Clinic/Center
- Caguas, PR
- NPI 1235352626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891851788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RES. BAIROA DQ-15 42ND STREET",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-744-1556",
"fax_number": "787-744-1556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RES. BAIROA DQ-15 42ND STREET",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-744-1556",
"fax_number": "787-744-1556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ-CRUZ",
"first_name": "ISRAEL",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "13382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
- Apolonia Kloe Gonzalez Rodriguez, D.C.
- Denise Gonzalez Santana, MD
- Tania Marie Gonzalez Santiago, MD
- Keysha M Gonzalez Vargas, MD
- Jennifer M Gonzalez-Caban
- Roberto Luis Gonzalez-Odriozola
- Ailed Gonzalez-Recio, MD
- Roberto L Gonzalez-Sala, M.D.
- Naggai Yamir Gonzalez-Segarra, M.D.
- Angel Luis Gonzalez, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.